Summary of best evidence on prevention and management of mechanical complications in patients receiving enteral nutrition
10.3760/cma.j.cn115682-20220620-02987
- VernacularTitle:肠内营养患者机械性并发症预防及管理的最佳证据总结
- Author:
Yan HU
1
;
Min HU
;
Dongying LI
;
Yan LING
;
Chi SUN
;
Zhenzhu MAO
;
Fangting XIONG
Author Information
1. 南昌大学第二附属医院伤口造口门诊，南昌 330006
- Keywords:
Nutritional support;
Enteral nutrition;
Mechanical complication;
Prevention;
Management
- From:
Chinese Journal of Modern Nursing
2023;29(11):1477-1482
- CountryChina
- Language:Chinese
-
Abstract:
Objective:To search for evidence related to the prevention and management of mechanical complications in patients receiving enteral nutrition and to summarize the evidence.Methods:The evidence published up to March 20, 2022 was systematically retrieved from Cochrane Library, PubMed, American Clinical Guidelines Network, National Institute for Health and Care Excellence, American Society for Parenteral and Enteral Nutrition, CNKI, WanFang Data, SinoMed, etc. The literature evaluation standards and evidence grading system of the Joanna Briggs Institute (JBI) Evidence-Based Health Care Center in Australia were used to rate the quality of the literature, evaluate and summarize the evidence.Result:A total of 13 articles were included, including 4 guidelines, 4 expert consensuses, 4 evidence summaries, and 1 case-control study. Totally 31 best evidences were formed from 8 aspects: causes of occurrence, prevention and management, proper immobilization, regular flushing, reasonable infusion of nutrient solution/medication, treatment of complications-blockage, treatment of complications-mucosal damage, and treatment of complications-unplanned extubation.Conclusions:Medical and nursing staff can use the best evidence to develop and implement prevention and management programs for mechanical complications in patients receiving enteral nutrition, strengthen the scientific management of mechanical complications in these patients, and improve the quality of life and prognosis of patients.
